NPI age
14 years
Enumerated 2012-03-09
● Active Type 2 · Organization
Pelican Assisted Living Llc
Pelican Assisted Living Llc is 1 of 1892 assisted living facility organizations in Texas.
Primary specialty
Assisted Living Facility
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Moore
President
Last NPPES update
2018-06-20
Source: monthly bulk 2026-05
How this organization compares
Across 1892 active assisted living facility providers in Texas.
NPI age
14 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2012 → 2026
2012-03Enumerated in NPPES
2012
2026
Where they practice
Primary practice location
2501 S Major Dr
Beaumont, TX 777075018
Mailing address
4500 Main Ave
Groves, TX 776194712
Authorized official
James W. Moore
President
📞 4099624450
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Shelley Smith, OT Occupational Therapist NPI 1255135778
Specialties
-
Assisted Living Facility PrimaryA facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 32044376872 | TEXAS COMPTROLLER OF PUBLIC ACCOUNTS TAXPAYER NUMBER |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Pelican Bay
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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